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KMID : 0368120010310020246
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Korean Circulation Journal
2001 Volume.31 No. 2 p.246 ~ p.250
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Long-Term Clinical Follow-up in A Case of Takayasu's Arteritis Involving the Ostium of Left Coronary Artery after Ostioplasty
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강경태/Kyung Tae Kang
정명호/정우곤/이상현/류제영/박종철/안영근/박종태/조정관/안병희/김상형/박종춘/강정채/Myung Ho Jeong/Woo Kon Jeong/Sang Hyun Lee/Jay Young Rhew/Jong Cheol Park/Young Keun Ahn/Jong Tae Park/Jeong Gwan Cho/Byoung Hee Ahn/Sang Hyung Kim/Jong Chun Park/Jung Cha
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Abstract
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A 25-year-old woman presented with effort-induced chest pain. Physical examination revealed different blood pressures, 180/100 ㎜Hg in right arm and 100/60 ㎜Hg in left arm. Resting electrocardiogram was normal, but down-slope depression of ST segment
more than 3 ㎜ in V3-6,Ⅱ,Ⅲ, aVF developed at the stage 1 of treadmill exercise test. Stress Thallium-201 scan showed severe ischemia in the anteroseptal and lateral wall of left ventricle. Diagnostic coronary angiogram showed critical
stenosis in the ostium of left main coronary artery. The left subclavian artery was occluded totally with well-developed collateral circulation. The patient underwent ostioplasty of left coronary ostium using pericardial patch, and her symptom improved
after surgery. Follow-up coronary angiogram one year after surgery showed patent coronary artery ostium with good flow and myocardial perfusion improved on follow-up Thallium-201 SPECT. She has no major cardiac events during 7-year clinical follow-up.
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KEYWORD
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